Individual
CRYSSON KORNEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11099 HIGHWAY 139, RANDOLPH, AL 36792-5215
(205) 652-5529
Mailing address
11099 HIGHWAY 139, RANDOLPH, AL 36792-5215
(205) 652-5529
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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